NPI 1912278367

Walgreens

Organisation Health Maintenance Organization Vancouver, WA

Practice location

Address: 6105 NE 114th Ave, Vancouver, WA 98662-6335
Phone: (360) 254-3848
Mailing address: 3508 NE 109th Ave APT T3, Vancouver, WA 98682-7210

Authorised official

Name: Bethlehem Shawle
Title: Staff Pharmacist
Phone: (360) 254-3848

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence PH00070793 (WA)

Other Health Maintenance Organization providers in Washington →

Registry record

NPI: 1912278367
Entity type: Organization
NPI issued: 17 Jan 2012
Record last updated: 17 Jan 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.